Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tonya Frederick, RN, FNP

Individual provider Family Nurse Practitioner · NPI 1619451697

Tonya Frederick, RN, FNP is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2018, 8 years ago. Practices with Columbia Lutheran Charities, a 110-clinician group and accepts Medicare assignment. Licensed in Oregon and Texas.

Years since qualifying
8
Licensed in
OR, TX
In the registry since
2018
Specialties on file
4
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

855 Montgomery St
Fort Worth, TX 76107-2553
Phone: (817) 735-2228
Fax: (817) 735-2582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1118906 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 202100983NP-PP (OR)
Registered Nurse Taxonomy 163W00000X · Licence 202100811RN (OR)
Registered Nurse Taxonomy 163W00000X · Licence 1118906 (TX)

Record details

NPI number1619451697
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP
Sole proprietorNo
NPI enumeratedSeptember 17, 2018
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Columbia Lutheran Charities — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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